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Table 1 Types of complaints made by service users in health facilities: findings from the questionnaire survey

From: Why service users do not complain or have ‘voice’: a mixed-methods study from Nepal’s rural primary health care system

Categories

Example

Environment/equipment

• No water supply, poor hygiene and no toilets in health facilities.

• No waiting room, no furniture and poor infrastructure.

Accessibility/ availability

• Health facility opens late and closes early, health facilities closes at 2 pm.

• Medicine not available, medicine not given, all medicine should be free, need to pay for medicine.

• Service providers are not regular, service providers do not come to office on time, no doctor.

• There should be a 24-hour service, service should be available during the weekend.

• No timely service, delay in providing services.

• Need of diagnostic services such as laboratory and X-ray.

• Immunization service and PHC out-reach clinic not managed well or not near to their residence.

• No ambulance, no delivery service.

• Maternity incentive not given, or delayed, to mother.

Empathy (respect/dignity/staff attitudes)

• Service providers behave rudely.

• Treatment information, not adequately provided.

• Service providers not responsive.

• No confidentiality.

Care/treatment /safety

• Medicine did not work, with poor quality.

• Medicine near to expiry or expired.

• Misuse of medicine by service providers.